Malignant hyperthermia (MH) is a rare medical crisis that carries a dramatically decreased mortality rate when treated promptly. Training is not routine in the non- operating room anesthesia (NORA) setting. As NORA is becoming more prevalent, NORA clinical staff must have the appropriate training to respond to this emergency. The purpose of this quality improvement (QI) project was to improve the education of NORA clinical staff in the identification and management of MH. A secondary aim was to identify local institutional barriers in responding to an MH crisis and thus revise the standard operating procedures (SOP) accordingly.